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NPI Code Detail

MEDICARE: DR. ANH P LEE PHARMD

MEDICARE: DR. ANH P LEE PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051295038IL
2183500000XPharmacist58529CA

General Provider Information

NPI Number : 1982972394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANH P LEE PHARMD
Provider Business Mailing Address
First Line : 1728 E SANDALWOOD AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-1642
Country : US
Telephone Number : 312-943-0671
Fax Number :
Provider Business Practice Location Address
First Line : 933 N STATE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60610-2842
Country : US
Telephone Number : 312-943-0671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2011
Last Update Date : 12/13/2011

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